News, Skilled Nursing Facility

Trauma portion requirements of Phase 3 of Requirements of Participation

This Q&A comes from  HCPro’s webinar led by postacute regulatory specialist Stefanie Corbett, DHA, that aired on Wednesday, April 3, 2019. Purchase the on-demand version.

Q: Our facility is subacute with a majority population of residents who are in a vegetative state. Can you please provide an example of meeting the trauma portion requirements?

A: An example of meeting the trauma portion requirement for a resident in a vegetative state might be a war veteran who is very sensitive to loud noise. In this case, you may want to care plan that this resident has a sensitivity to sound as it relates to loud music being played; you may want to also note that he may not be appropriate to have a roommate who is hard of hearing and may prefer sounds and music to be louder. Even though the resident is vegetative, we do know that individuals can show discomfort with things such as volume, depending on each person’s individual characteristics. Of course this will have to be looked at on a case-by-case basis, so I would recommend that you include in your initial assessment and ongoing resident assessment the individual’s history and background, where you may find indication of sensitivity or areas that may pose themselves as opportunities to care plan accordingly.